武汉综合性医院门诊发热患者中新型冠状病毒肺炎确诊情况

刘莉; 童晓玲; 魏菁菁; 梁晓明; 王晓萌

doi:10.16462/j.cnki.zhjbkz.2021.04.021

武汉综合性医院门诊发热患者中新型冠状病毒肺炎确诊情况

doi: 10.16462/j.cnki.zhjbkz.2021.04.021

1.
430010 武汉，中部战区总医院汉口院区
2.
430070 武汉，中部战区总医院卫勤部

详细信息

通讯作者:
童晓玲，E-mail: 1411043854@qq.com

中图分类号: R181
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- 被引次数: 0
出版历程
- 收稿日期: 2020-03-04
- 修回日期: 2021-03-19
- 网络出版日期: 2021-05-11
- 刊出日期: 2021-04-10

The diagnosis situation of the patients with COVID-19 in outpatients with fever in Wuha General Hospital

1.
Hankou Hospital Area, Central Theater General Hospital, Wuhan 430010, China
2.
Department of Health and Service, Central Theater General Hospital, Wuhan 430070, China

More Information

Corresponding author: TONG Xiao-ling, E-mail: 1411043854@qq.com

摘要

摘要: 目的分析武汉市COVID-19疫情期间发热人群的流行病学特征规律，旨在为疫情防控提供科学依据。方法收集综合性医院发热门诊2 698例发热病例中的肺炎病例和SARS-CoV-2核酸检测阳性病例，采用描述性流行病学方法进行统计分析。结果 2020年1月1日至2020年2月12日武汉市综合性门诊共接诊发热患者2 698人次，检出肺炎患者683人(25.3%)，其中有377人(55.2%)为病毒性肺炎患者。结合影像学结果和临床表现，可判定为COVID-19确诊病例289例，而根据核酸检测结果判定为COVID-19确诊病286例。COVID-19确诊病例中50岁以上人群比例较高，尤其是60~69岁年龄段。结论对于发热门诊接诊的病毒性肺炎患者，如COVID-19核酸检测假阴性或者未检测的患者，应根据影像学结果和临床表现来判定。
- 新型冠状病毒肺炎 /
- 发热门诊 /
- 核酸检测
Abstract: Objective To analyze the epidemiological characteristics of febrile patients during the outbreak of the COVID-19 in Wuhan and explore its pathogenesis, so as to provide scientific basis and theoretical support for the prevention and control of the epidemic. Methods The data of 2 698 fever cases in fever clinic of general hospital were collected, including pneumonia cases and the positive cases of nucleic acid test of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), and analysed by descriptive epidemiology. Results From January 1, 2020 to February 12, 2020, a total of 2 698 febrile patients were treated in the General outpatient department of Wuhan, including 683 (25.3%) patients with pneumo nia, in which 377 patients(55.2%) with virus pneumonia. Combined with imaging examination results and clinical manifestations, 289 cases were confirmed as COVID-19. However, 286 cases were confirmed as COVID-19 according to the results of nucleic acid detection. Compared with other age groups, the rates of people over 50 years old was higher in confirmed cases of COVID-19, especially for aged 60-69. Conclusion For viral pneumonia patients in fever clinic, if COVID-19 nucleic acid test is false negative or not detected, it should be determined according to imaging results and clinical manifestations.
- COVID-19 /
- Fever clinics /
- Nucleic acid detection

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表 1 2020年1月1日—2020年2月12日武汉市综合性医院不同性别的发热患者门诊及肺炎检出情况的日期分布[n(%)]

Table 1. The statistical table of outpatients with fever in Wuhan General Hospital from January 1, 2020 to February 12, 2020 [n(%)]

变量及分类	日期				合计
变量及分类	1月1日-1月10日	1月11日-1月19日	1月20日-1月31日	2月1日-2月12日	合计
发热门诊人次
男	352(22.2)	318(20.0)	587(37.0)	330(20.8)	1 587(58.8)
女	118(10.6)	168(15.1)	546(49.1)	279(25.1)	1 111(41.2)
肺炎
男	26(7.2)	64(17.6)	151(41.6)	122(33.6)	363(53.1)
女	9(2.8)	35(10.9)	153(47.8)	123(38.4)	320(46.9)

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表 2 病毒性肺炎病例核酸检测结果及确诊COVID-19患者情况

Table 2. The results of nucleic acid detection in fever cases and confirmed case of COVID-19

结果	年龄段(岁)								合计
结果	< 20	20~＜30	30~＜40	40~＜50	50~＜60	60~＜70	70~＜80	≥80	合计
核酸阳性	0	3	17	17	26	32	22	5	122
核酸单阳	1	4	24	22	32	53	18	10	164
核酸阴性	0	8	11	19	26	20	6	1	91
合计	1	15	52	58	84	105	46	16	377
确诊COVID-19患者	1	7	41	40	58	85	41	16	289

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